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Sushruta Anorectal Institute
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Complete cure for Anorectal diseases with Most convenience without surgery using recent technology & time tested Ayurvedic Principals
Complete cure for Anorectal diseases with Most convenience without surgery using recent technology & time tested Ayurvedic Principals

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Facts about Pilonidal Sinus

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Top 10 treatments for Anal Fistula

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Top 10 Treatments for Fistula

1. Lay-open of fistula-in-ano: In this procedure; an operation is carried to cut the fistula open. After that it is regularly packed on daily basis to ensure proper healing of wound. It lefts behind a scar tissue and depending upon location of Fistula in relation to sphincter muscles there might be some risk of stool incontinence and if it is not healed properly; there are chances of recurrence.

2. Cutting seton: This treatment involves inserting a tube in fistula tract and tying it outside the body. Seton is tightened on regular basis to ensure cutting the fistula tract. So it is the tightened seton which causes cutting of tract. This procedure might involve too much pain and in some cases there might be incontinence especially of flatus.

3. Fistulectomy: It is surgical procedure where complete Fistula tract is excised (cut out). In certain cases; there might be more than 1 surgery. Recurrence of fistula and stool incontinence are the possible post treatment complications.

4. Colostomy: In this procedure; an opening is made by drawing part of colon through an opening to anterior wall of abdomen. A Stoma appliance is fixed to this opening to make an alternate way for stool to leave the body. This procedure is done to avoid contact of fecal matter with Fistula assuming that it will lessen the chances of infection and fistula will heal easily. Along with recurrence of fistula and incontinence there are certain other complications in this procedure like formation of hernia near Stoma opening, Stomal blockage; another fistula formation near Stomal opening etc.

5. Fibrin glue injection: In this procedure; bio degradable glue is injected in the fistula tract which is supposed to close the fistula and let it heal naturally. Recurrence rate in Fibrin glue injection is as high as 30-35%;

6. Fistula plug: This treatment involves plugging the fistula tract from inside with a plug made up of intestinal tissue. Complication in this treatment involves treatment failure, plug extrusion, abscess at the site of plug etc.

7. Endorectal advancement flap: In this procedure; internal opening of Fistula is identified and a mucosal flap is cut around the opening and opening is closed with this flap. After that external opening is cleaned and sutured. The main complications in this treatment are failure of treatment and recurrence of fistula.

8. LIFT Technique: Ligation of Intersphincteric Fistula tract procedure; involves closure of internal opening of Fistula tract and removal of infected tissue. Recurrence of Fistula is the main complication in LIFT procedure.

9. VAAFT: Video Assisted Anal Fistula Treatment; with fistuloscope fistula tract is visualized and location of internal opening is confirmed. After that internal opening is closed using stapler or flap made from a layer of skin and internal layer of intestine. Disadvantages of VAAFT include reopening of internal opening leading to failure of treatment and recurrence of fistula.

10. Ksharsutra Treatment: It has been proved to be highly effective treatment for Anal fistula. A Clinical trial was conducted by Indian Council of Medical Research (ICMR) in 1991 at various medical institute including All India Institute of Medical Sciences (AIIMS) New Delhi and PGI Chandigarh etc. to see the effectiveness of Ksharsutra Treatment. It was concluded that Ksharsutra treatment is more effective and more convenient as compared to surgery in the patient of Anal Fistula. With the latest concept of Graded Ksharsutra (Sushruta Anorectal Institute; New Delhi) the chances of recurrence after Ksharsutra treatment are predictably zero.

Ksharsutra is a medicated thread which is prepared by coating of certain herbal latex with herbomineral powders. The thread is alkaline in nature and it has highly selective debridement property. The fistulous tract is properly defined using MRI fistulogram or clinical probing and then with the help of certain instruments; the thread is placed in the fistulous tract. The medicine is gradually released in the tract from the thread and do the necessary debridement of fistulous tract. The thread is changed at weekly interval till there is a final cut through and the tract has healed completely. So here it is the medicine which debrides the fistula and ensure complete healing. Thread is just working as a vehicle for drug delivery in Fistula Tract. The anal fistula patient in whom fistula has recurred after Fistulectomy/ Colostomy/ Glue/ MAFT/ VAFT; these patients have been successfully treated by Graded Ksharsutra. The treatment is equally effective in the case of complex high anal fistula (Supra levator/ trans sphincterric/ horse shoe shaped multiple tracts).

For more details about Ksharsutra treatment for Fistula: www.ayurcure.com/fistula-treatment.aspx

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सरस्वति नमस्तुभ्यं वरदे कामरूपिणि ।
विद्यारम्भं करिष्यामि सिद्धिर्भवतु मे सदा ॥
Salutations to Devi Saraswati, Who is the giver of Boons and fulfiller of Wishes!!
O Devi, when I begin my Studies, Please bestow on me the capacity of Right Understanding, always!!
Sushruta Anorectal Institute wishes Happy Basant Panchami to You!!
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2/1/17
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10 must know facts about piles

1. Constipation is the leading cause for piles. To avoid constipation you should take plenty of fluid (water/ butter milk); adequate amount of fibers(Salad/ green leafy vegetables) and exercise regularly

2. Straining while defecation is another cause for piles so put too much strain while defecation. Go for defecation only when you are having proper urge for defecation. Do not sit too long for defection.

3. Piles can be treated without surgery. Ayurvedic treatment for piles ensures complete cure for piles.

4. Painless bleeding is characteristic sign of internal piles. This stage is termed as first degree internal piles

5. If piles is not treated at first stage; piles masses start protruding out from anal opening. In starting these get reduced by themselves; if untreated, manual reduction becomes necessary – second stage of piles.

6. Pile masses should be kept inside rectum. If these remain outside; these might get infected and result in complicated conditions like anal fistula and others.

7. If piles remain untreated at second stage; pile masses remain permanently outside – third stage of piles.

8. In first stage of piles; kshar karma is performed which results in arrest of bleeding and regression of pile mass size.

9. In second & third stage; pile mass is ligated by ksharsutra which is an OPD procedure. After Ksharsutra ligation; pile mass sheds off by itself in a week or ten days.

10. No hospitalization or bed rest is required and patient can go home after an hour rest.

For more details about Piles Treatment in Ayurveda; please check: http://ayurcure.com/piles-treatment.aspx

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10 must know facts about piles

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Ten must know facts for a Fistula patient before starting any treatment

Every Fistula Patients must know these facts before starting Fistula Treatment:

1.Fistula can not be cured by oral intake of medicines homeopathic/ ayurvedic or allopathic.

2. There are periods when patient feel that he is fine. When pus gets discharged there will be no pain or swelling but after some time; there will be pus formation followed by swelling and pain.

3. Anti biotics can give only short term benefit.

4. Most recent Surgery treatment for Fistula VAAFT has recurrence rate of about 15 % in Anal Fistula.

5. Ksharsutra treatment is the best treatment for Anal Fistula.

6. Indian Council for Medical Research has conducted clinical trials to compare effectiveness of Ksharsutra treatment and surgery in Anal fistula patients in AIIMS New Delhi; PGI Chandigarh and other premier institutes in 1990.

7. Ksharsutra Treatment was found more effective and convenient as compared to surgery in Anal Fistula.

8. Predictably there is 0% recurrence after Ksharsutra Treatment for fistula.

9. Anal area is very sensitive and delicate area so you be extra careful while opting for treatment for Fistula. Take Fistula Treatment from well qualified Ksharsutra expert and never hand over your health to quacks/ bengali doctor/ Madrasi doctor.

10. As Fistula has an infective Pathology; there is no role of home remedies so a fistula patient should not waste time searching home remedies for Fistula and should plan for Ksharsutra Treatment for complete cure of Anal Fistula.

For more info about Ksharsutra Treatment for Fistula:

http://ayurcure.com/fistula-treatment.aspx

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10 must know facts for a Fistula treatment before starting any treatment

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Piles - Say No to Surgery

Piles or Hemorrhoids has become a common problem now a days. It may be due to our changed lifestyles like reduced physical activity, irregular food intake and consumption of fast food etc. These factors lead to disturbance in digestive system leading to constipation. Due to which the person has to put extra strain while passing stool leading to pulling of blood in veins and subsequent engorgement in the form of pile masses. Thus we see the Piles are nothing but engorged blood vessels in the anal canal.

Piles are commonly known as बवासीर in the society and is considered as social stigma. Due to lack of knowledge and social inhibition; people do not discuss this problem openly and are subsequently misguided by quacks like benagli treatment, madrasi treatment, Chandsi treatment etc. etc.

Anal region being a very sensitive part; the pt. usually avoids any type of surgical intervention in this area and they are looking for some alternative to surgery. We at Sushruta Anorectal Institute, are constantly trying to manage Piles in all its stages preferably without surgery or with minimal surgical intervention.

Depending upon the presentation the hemorrhoids (Piles) are grossly divided in two categories 1. External Piles 2. Internal Piles.

External Piles:

As the name indicates; these are the pile masses which are present outside the anal orifice. They do not bleed but when large in size; may put some obstruction to the passage of stools. Some times patient complains of itching in these masses. When inflamed they become painful and swollen. They are removed by minimal surgical procedure with ligation of Ksharsutra at the root. This is an OPD procedure and patient can go home after 1 hour rest.

Internal Piles:

There are three stages of Internal pile. In first stage; patient complains of painless bleeding. At this stage; doctor finds presence of internal pile masses on proctoscopy. In the second stage, the pile masses start protruding out while passing stool. Initially they get reduced by itself but in advanced stage; patients need to reduce these manually. In the third stage; the internal pile mass comes out not only at the time of passing stool but also while walking and sitting.

Treatment:

The first stage internal piles are treated by Kshar Karma and oral medication. Second stage piles are treated successfully by combining Kshar Karma and sclerotherapy. If the pile masses are big enough then they are ligated by Ksharsutra. In the third stage also Ksharsutra ligation is done at the base of Pile mass which drops out in 5-7 days. This way the internal hemorrhoids can be successfully treated without surgery without hospitalization in all its stages.

Dos and don'ts

The patient suffering from piles should:

1.Increase consumption of fibrous food
2.Increase intake of fluid/ butter milk
3.Exercise regularly
4.Always try to reduce the pile masses by applying pressure with fingers so that they remain inside the rectum
5.Should not Spend more than 10 minutes for passing stool
6.Should not Strain too much while passing stool
7.Should not Consume fast food, spicy and oily food

At Sushruta Anorectal Institute ore than 12,000 patients has been treated successfully without surgery. For more information visit: http://ayurcure.com/piles-treatment.aspx 
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Piles can be treated in all its stages without surgery......
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